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395 Cards in this Set

  • Front
  • Back
erect with heels and toes together, palms forward, thumbs out (considered to be 0o for most joints except forearm)
anatomical position
Quadruped position assumed by
i.Flex hips and arms to 90
ii.Laterally rotate hips
iii.Rotate forarms to neutral position
iv.Extend wrists
v.Quadruped position aligns peripheral body structures with the spinal levels which innervate them! (i.e. the innervation of the thumb is higher than the innervation of the pinky)
splits body into equal right and left portions
Median/midsagittal
parallel to midsagittal; splits body into unequal right and left portions
Sagittal/parasagittal
splits body into anterior and posterior portions
Coronal/frontal
splits body into superior and inferior portions (can be thru arm/extremities, not always thru the trunk)
Horizontal/transverse
, spine, sternum, ribs, clavicle (trunk & head)
axial skeleton
limb girdles and limbs (hip, shoulder, arm, leg, hands, feet)
Appendicular skeleton
arm (humerus) forearm (radius and ulna) hand
upper limb
thigh (femur) leg (tibia and fibula) foot
Lower limb
all along long axis
longitudinal
cross sections
tansverse
diaginal cross section, slicing through anatomical body
oblique
rotational mvmt in saggital plane bringing ventral surfaces toward another
flexion/extension
away or toward
abduction/adduction
bone landmarks:
linear elevation
line, ridge, crest
bone landmarks:
rounded elevations
tubercle, protuberance, trochanter, tuberosity, mallelus
bone landmarks:
sharp elevtions
spine, process
bone landmarks:
articular areas
facet, head, condyle
bone landmarks:
depressions
fossa, groove, scapular notch
bone landmarks:
hole through bone
foramen, canal
suture, syndesmosis

flat bones of cranuum, interosseus membrane btwn radius and ulna

no mvmt
fibrous joint
synchondrosis, symphysis

epiphyseal growth plate, pubic symphysis, manubriosternal joint, intervertebral discs

all along midline

limited mvmt
cartilaginous joints
joints with a great range of motion
synovial joints
connects muscle to bone
tendon/ aponeurosis
acts on moveable joints, preforms or helps perfrom same joint motion as the agonist
synergist
prevents any unecessary movement, stabilizes one part of body while the other is in motion
fixator
cervical dermatome level
upper limbs
lumbar dermatome level
anterior leg and greater toe
sacral dermatome level
pinky toe, genetalia and anus
what is innervated by the posterior/dorsal primary ramus?
all true back muscles (deep)
what is innercated by the anterior/ventral primary ramus?
superficial back muscles
are primary rami motor or sensory or both?
both
are nerve rootes motor, sensory, or both?
either motor OR sensory
name the superficial structures of the back from superficial to deep
epidermis, dermis, superficial fascia, deep fascia, musclature
what are teh two superficial back muscles?
trapezius and latissimus dorsi
what is the trapezious innervated by?
spinal accessory n, and spinal n c3&4
where does the trapezious originate?
ligamentum nuchae and spinous processes of C7-t12
where does the trapezious insert?
spine of scapula, acromion, and lateral 1/3 of clavicle
what action does the trapezious do?
moved the pectoral girdle

extends the head, elevates, retract upwardly rotate and depress the scapula
what is the latissimus dorsi innervated by?
thoracodorsal nerve
where does the latissimus dorsi originate from?
spinous processes of t6 and lower, thoracolumbar fascia, illiac crest and lower ribs
where does the latissimus dorsi instert?
onto the floor of the interubercular groove of the humerous
what is the action performed by latissimus dorsi?
extend, adduct, and medially rotate the arm
what 2 muscles comprise the deeper layer of back muscles
rhomboid major and minor and levator scapulae
what does teh dorsal scapular nerve innervate?
rhomboid major and minor, levator scapulae
where do the rhomboids originate
spinous processes of c7-t5
where do the rhomboids insert?
medial border of the scapula
what action do the rhomboids perform?
retract and downwardly rotate the scapula
what muscles comprise the deepest layer of the superficial muscles of the back?
serratus posterior minor and major
what muscles on the back do branches of the intercostal n innervate?
serratus posterior superior and inferior
where can serratus posterior superior be found?
deep to rhomboids
what does serratus posterior superior do?
weakly elevate the upper ribs
where can serratus posterior inferior be found
deep to latissimus dorsi
what does serratus posterior inferior do?
depresses lower ribs
what are the true deep back muscles contained in?
thoracocolumbar fascia
what occupies the space btwn spinous processes of vertebrae and angles of the ribs?
true deep back muscles
what are teh only muscles that are supplied by posterior primary rami?
true deep back muscles
what muscles' superficial components diverge cranially, act together to extend the spine but unilaterally to laterally flec or rotate teh spine/head toward the ipsilateral side?
true deep back muscles
where does splenious capitis and cervices originate from?
inferior hald of ligamentum nuchae and spinous processes of cervicals and upper thoracics
where does splenious capitis insert?
mastoid process/occipital bone
where does splenious cervices insert?
transverse processes of upper cervicals
OILS are part of what muscle group?
sacrospinalis (erector spinae)
What does OILS stand for?
Outside
Illiocostalis
Longissimus
Spinalis
what muscles converge cranially, act together to extend the spine, but seperately to rotate the spine toward the contralateral side?
deeper, intrinsic componenets (transversospinalis group)
where does teh semispinalis capitis, cervicis and thoracis originate from?
upper half of spine
what does the semispinalis capitis, cervicis and thoracis do?
important in holding the head up
what muscle is heaviest in the lumbar region of the spine, whose fibers typically span 3 segments and caudally attach at mammillary process but cranially at spinous processes
multifidus
what muscles are deep and short and cross one are 2 spaces, are unisegmental and stabilize rather than produce movement?
rotatores
what does longus mean?
crosses 2 spaces
what does brevis mean?
crosses one segement
what muscles are not actually back muscles, are a series of 12, are rib elevators, have longus and brevis segments, superomedially attach at a tip of a transverse process, inferiorly attach at the outer surface of a rib and are innervated by an intercostal nerve?
levatores costarum
what does the superficial fascia of the neck contain?
platysma
what muscle lines the superficial thorax and functions to move the skin, is continuous with muscles of facial expression and is innervated by CN VII (facial n)?
platysma
what layer of neck fascia encircles the entire neck, splits to enclose the SCM and trapezious muscles?
deep fascia
what layer of neck fascia surrounds the posterior compartment of the neck, contains cervical spinal column and its muscles?
prevertebral fascia
what layer of neck fascia contains the trachea, esophagus, and thyroid gland (anterior portion of the neck)?
pretracheal fascia
what layer of neck fascia contains the common carotid a, internal jugular vein and CN X (vagus n)
carotid sheath
describe the pathway of the vertebral artery
arises from subclavian artery
ascends through transverse foramino of upper 6 cervicals, passes medially over superior surface of persterior arch on the atlas, peirces dura mater, enters the skull via for formen magnum
what does the vertebral artery supply?
vertebrobasilar system; brainstem cerebellum and occipital lobe
describe the pathway of the spinal accesory nerve
arises from C1-5 level
ascends through formen magnm, descends to pass out of the skull via jugular foramen to supply SCM and trapezious
what nerve is a major landmark of the posterior cervical triangle?
spinal accessory nerve
what 3 muscles create the borders of the suboccipital triangle?
superior oblique, inferior oblique and rectus capitis posterior major
which muscle is from the transverse process of atlas to the skull?
superior oblique
which muscle is fromt he spine of axis to the transverse process of atlas and can rotate the atlas and head ipsilaterally?
inferior oblique
which muscle is from the spine of axis to the skull?
rectus capitis posterior major
what are the contents of the suboccipital triangle?
suboccipital nerve, vertebral artery
what does the suboccipital nerve innervate?
superior oblique, inferior oblique, rectus capitis posterior minor and major, overlying segment of semispinalis capitis

MOTOR FIBERS ONLY
what makes up the roof of the suboccipital triangle?
deep surface of semispinalis capitis
what composes the floor of the suboccipital ltriangle?
posterior arch of atlas and atlanto-occipital membrane
where does the occipital artery enter the suboccipital triangle region?
just lateral to the superior oblique
where does SCM originate and insert?
inserts on mastoid process
originates onto sternum and clavicle
what is the function of SCM?
protaect major blood vessels win carotid sheath
sperates anterior and posterior cervical triangles
both contract: flex cervical spine
unilateral contraction: produces ipsilateral flexion and contralateral rotation of the head
aka wry neck or loxia, which is a condition in whcih the neck is twisted so that the head is tilted to one side with the chin pointed in the opposite direction
torticollis
why is the posterior cervical triangle important?
key position as the gateway to the upper limbs
upper limbs, diaphragm all develop int he neck and carry their nerve innervations with them as they grow and this pattern is shown in the posterior cervical triangle
what are the boundaries of the posterior cervical triangle
trapezius, SCM and clavicle
what crosses the posterior cervical triangle to sepreate it into the superior carefree zone and the inferior careful zone
spinal accessory n
what muscles's inferior portion is found in the inferior portion of the triangle
omohyoid
what superficial structures of the posterior cervical triangle emerge from the posterior edge of the SCM?
greater auricular n (accompanies external jugular)
lesser occipital n (to scalp)
transverse cervical n
what superficial structure of the posterior cervical triangle emerge and go downward from c3-c4?
medial supraclavicular n
lateral superclavicular n
intermediate superclavicular n
what are the superficial structure of the posterior cervical triangle? (8)
external jugular v
cutaneous n
greateer auricular n
lesser occipital n
transverse cervical n
medial supraclavicular n
lateral supraclavicular n
intermediate superclavicular n
what are the muscles deep to the floor of the posterior cervical triangle? (5)
spelnius
small portion of semispinalis capitis
levator scauplae
scalenus anterior
subclavius
what muscles that are deep to the floor of the posterior cervical triangle are supplied by posterior primary rami?
splenius
semispinalis capitis
what muscles that are deep to the floor of the posterior cervical triangle are supplied by anterior primary rami?
leavator scapulae
scalenus anterior
subclavius
what important nerve emerges btwn scalenus anterior and scalenus medius in the posterior cervical triangle?
upper part of the brachial plexus
what important nerve descends on the anterior surface of scalenus anterior in the posterior cervical triangle?
phrenic nerve
what blood vessel passes anterior to scalenus anterior and drains the upper limb? in the posterior cervical triangle?
sublclavian v
what blood vessel passes behind scalenus anterior and is protexted from trauma by scalenus' position in the front?
subclavian a
what blood vessel arises fromt he thyrocervical trunk and supplie muscles on the posterior surface of the scapula in the posterior cervical triangle?
suprascapular a
what blood vessel arises from the the thyrocervical trunk which is a branch of the subclavian a in the posterior cervical triangle?
superficial cervical a
about 1/3 of the time BLANK and BLANK arise from theyrocervical trunck and together are teh transverse cervical artery which then splits into a superficial branch, BLANK, and a deep branch, BLANK
superficial: superficial cervical a
deep: dorsal scapular a
which part of the spine keeps the original curvatures from early on in development?
thoracic and scaral
which part of the spine develops a secondary curvature?
cervical and lumbar
how many vertebrae do adults have
24
how many vertebrae do children have?
33
how are teh vertebrae in adults seperated?
7 cervical
12 thoracic
5 lumbar
5 fused sacral
4 coccygeal
what is an exaggerated thoracic curve often seen in old age?
kyphosis
what part of a typical vertebra is this:
anterior componenet, largeley cylindrical, flat on top and bottom
vertebral body
what part of a typical vertebra is this:
bar of bone projecting posteriorly from the boy- forms anterolateral part of the neural arch
pedicles
what part of a typical vertebra is this:
plates of bone that contunue posteriorly from pedcles- fuse in median plane to complete the neural arch
laminae
what is the condition in which laminae fail to close; in more severe cases, out-pouching of meninges and neural tissue can occur
spina bifida
what part of a typical vertebra is this:
extend posteriorly from pt of union of laminae- bumps that you can palpate down the spine
spinous processes
what part of a typical vertebra is this:
lateral extensions of the vertebra from pt of unions btwn laminar and pedicle-along with spinous processes serve as major pt of attachement for muscles and ligaments
transverse processes
what part of a typical vertebra is this:
project superiorly and inferiorly from jnt of pedicles and laminae- surface of BLANK of superior BLANK faces somewhat posteriorly while the BLANK of the inferior BLANK faces anteriorly
articular processes
ring of bone with two lateral masses with superior and inferior facets
no body no spinus processes- instead have anterior and posterior tubercle
atlas C1
large dens (odontoid process) which projects superiorly to articulate with the atlas

(spinal cord is just posterior to dens, so stability with respect to the skull and atlas is very important)
axis (C2)
bifid spinus processes
short transverse processes
transverse foramina for vertebral a
lateral elevations on superior surface of body=uncinate processes- bowl shaped appearence
lower 5 cervical vertebrae

C7 does not have a bifid spinus process
articular facets for ribs
articular cartilage located on perterolateral parts of vertebral bodies and transverse processes
long, downward sloping spinus processes
thoracic vertebrae
large bodies
no transverse foramina
no costal facets
rectangular spinous processes
mammillary processes )for attachment of multifidis)
lumbar vertebrae
which ligament:
runs from c7-sacrum
connects apices of spinous processes
easily palpated bc its subcutaneous
most posterior ligament
supraspinous ligament
which ligament:
is relatively weak, and runs directly btwn spinous processes
interspinous ligament
which ligament:
very elastic connective tissue
connects neighboring vertebrae
lamina to lamina
spring returns
built in chiropractor
stretch during spinal flexion
prevent pinching of dura mater btwn laminae during extension
ligamenta flava
which ligament:
posterior to weight bearing pillar of spine
not posterior to actual spinal cord
runs along posterior surgaces of vertebral bodies and discs
narrows from L1 to S1 so that it is only 1/2 as wide at low lumbar, which explains high number of lumbar disc herniations
posterior longitudinal ligament
high cervical continuation of posterior longitdinal ligament, just posterior to ligaments
tectorial membrane
which ligament:
very strong and wide
runs along anterior ascpect of anterior pillar of spine
only ligament with function to RESTRICT HYPTEREXTENSION of the spine
anterior longitudinal ligament
which ligament:
from apex of dens to anterior margin of foramen magnum
apical ligament
which ligament:
from lateral aspects of dens to medial aspects of occipital condyles (wings)
alar ligaments
which ligament:
runs posterior to dens to attach to tubercles at medial aspects of lateral masses of atlas
represents horizontal componenet of cruciate (cruciform) ligament
transverse ligament of axis
outermost meminge
tough, dense sleeve of connective tissue covering spinal cord
extends from foramen magnum to coccyx
dura mater
middle meninge
delicate, webslike membrane
loosely surrounds the spinal cord
arachnoid mater
innermost meninge
thin membrane
clings tightly to surface of the spinal cord
pia mater
which ligament:
tethers the spinal cord win the dura mater, arises fron lateral aspects of the spinal cord at regular intervals
denticulate ligaments
what is the tapered cone shaped caudal end of the spinal cord proper
composed of sacral and coccygeal cord segements, but lies at bony L1-L2 bc column continues to grow well after the spinal cord growth ends
conus medullaris
what is the horses tail
posterior and anterior nerve rootst hat descent win memingeal sheaths until they oin to form respective spinal nerces at intervertebral foramina
cauda equina
what is a filament of pia mater that extends from top of conus medullaris to the termination of the spinal cord
filum terminale interna
what is located btwn vertebral bodies composed of annulus fibrosus and nuleus pulposus (fibrocartilage and gleatinous core respectively)
discs deforms to allow spinal mvmt
categorized as cartilaginous joints
intervertebral discs
what exists on posterior component of spine btwn facing articular processes
categorized and synovial joints
facet joints
what composes the pectoral girdle
scapula (coracoid process) and clavicle
what composes the pelvic girdle?
ox coxae (ishium, illium and pubis)
what bones make up the arm
humerus
what bones make up the thigh
femur
what bones make up the forarm
radius and ulna
what bones make up the leg
tibia and fibula
what bones make up the wrist?
8 carpals
what bones make up the ankle
7 tarsals
what bones make up the hand and foot?
hand: 5 metacarpals and 14 phlanges
foot: 5 metatarsals and 14 phalnges
early on limb buds are BLANK-- thumbs and great toes point cranially, elbows and knees laterally and heads of femur and humerus medially
ventral
as development occures, humberal and femoral heads retain their medial directions, but the limbs twist so that

1distal humerus is BLANK so that elbows point posteriorly
2distal femur is BLANK so that knees point anteriorly
lateral
medial
what occurs at anatomical neck of humerus?
attachment for capsule
what part of the humerus is often fractured?
surgical neck
what occurs at the greater tubercle of the humerus?
attch for SIT muscles (lateral)
what occurs at lesser tubercle of the humerus
interstion for subscapularis (medial)
what occurs at intertubercular sulcas (aka bicipital groove) of the humerus
floor is attch for latissimus dorsi, lateral edge is attch for pec major, medial edge is attachment for teres major
what occurs at the spiral groove of the humerus
groove for radial n as well as profunda brachii a and v
what occurs at the superior angle of the scapula?
levator scapulae attch
ass w superficial cervical a and accessory n
what occurs at the inferior angle of the scapula?
near attch of teres major and rhomboid major, attch for serratus anterior, lastissimus dorsi sometimes attch near tip
what occurs at the vertebral (medial) border of the scapula?
rhomboids, levator scapular and serratus anterior attch
what occurs at axillary (lateral) border of the scapula?
teres major, teres minor, and long head of triceps brachii attch
what occurs at the spine of the scapula?
trapezius and deltoid attch, rhomboid minor also attch near base of the spine at the medial angle
what occurs at the acromion process of the scapula?
deltoid and upper trapezius attch
what occurs at the supraglenoid tubercle of the scapula?
long head of biceps attch
what occurs at the infraglenoid tubercle of the scapula?
long head of triceps attch (these also attch at adjacent superior part of axillary border)
what occurs at the supraspinous fossa of the scapula?
origin for supraspinatus
what occurs at the suprascapular notch of the scapula?
ass with suprascapular nerve and artery (nerve goes over/superficial to it, omohyoid attch just medial to it)
what occurs at the infraspinous fossa of the scapula?
origina for infraspinatus, also location of suprascapular nerve (arriving cia suprascapular notch)
what occurs at the glenoid fossa of the scapula?
recieves/accomodates the head of the humerus
what occurs at the scapular notch of the scapula?
where superscapular nerve and artery pass the lateral edge of the scapular spine
what occurs at the coracoid process of the scapula?
short head of biceps, coracobrachillis and pec minor attch
coraroacromial ligament
what muscles connect the scapula to the axial skeleton? (5)
trapezius, levator scapulae
rhomboids, serratus anterior and pec minor
what muscles connect the humerus to the axial skeleton? (2)
latissimus dorsi and sternal head of pec major
what muscles connect the humerus to the scapula? (7)
deltoid
supraspinatus
infraspinatis
teres mino
subscapularis
teres major
coracobrachilis
what muscles does the spinal accessory nerve innervate in terms of the scapula and deltoid regions? (1)
trapezius
what muscles does the dorsal scapular nerve innervate in terms of scapula and deltoid regions? (2)
levator scapulae and rhomboids
what muscles odes the long thoracic nerve innervate in terms of the scapula and deltoid regions? (1)
serratus anterior
what muscles does the medial pectoral nerve innervate in terms of the scapula and deltoid regions? (2)
pec minor and major
what muscles does the thoracodorsal nerce innervate in terms of the scapula and deltoid regions? (1)
latissimus dorsi
what muscles do the medial and lateral pectoral n innervate in terms of the scapula and deltoid regions? (1)
sternal head of pec major
what muscles do the axillary n innervate in terms of the scapula and deltoid regions? (2)
deltoid and teres minor
what muscles do the subscapular n innervate in terms of the scapula and deltoid regions? (2)
subscapularis
teres major (lower)
what muscles do the muscculorcutaneous n innervate in terms of the scapula and deltoid regions? (1)
coracobrachialis
which artery comes from thryocervical trunk or directly from subclavian a
anastomeses (joins together w) suprescapular a, intercostal aa, and curumflex scapular branch of subscapular a?
superficial cervical a
which artery also comes from the throcervical trunk?
suprascapular a
which artery arises from the 3rd or 2nd part of subclavian a
and in 1/3 of people, BLANK and superficial cervical aa will have common origin, transverse cervical a, from thyrocervical trunk
dorsal scapular a
which artery has clavicular, acromial, deltoid and pectoral branches?
thoracoacromial a
which artery comes from the 3rd part of axillary a?
(axillary a begins at area of first rib)
posterior circumflex humeral a
which artery comes from the inital part of brachial a just distal to inferior border of teres major
profunda brachii a
which space:
is bound by teres major/minor and long head of triceps
contain circumflex scapular a
triangular space
which space:
is bound by humerus's surgical neck, long head of triceps, capsule of shoulder joint and teres major
contain axillary n and posterior humeral circumflex a
quadrangular space
which space:
is bound by long and lateral head of triceps and inferior boreder of teres major
contain radial n and profunda brachii (deep brachial) a
trriangular interval
which bone of the pectoral region:
is most commonly fractured
transmits forces from upper limb to sternum
only bone of the pectoral giedle that attch to the axial skeleton via a true jt
muscles that attch: trapezius, SCM, deltoid, pec major and subclavius
clavicle
which bone of the pectoral region:
is composed of 3 bones (manubrium,body of sternum, and the xyphoid process)
clavicle articulates w manubrium, as do the first 2 ribs
superior end of manubrium is the suprasternal notch, which is an important landmark
the jnt btwn manrubrium and body is easily palpated and marks the position of the second rib
sternum
which muscle of the pectoral region:
clavicular head from medial part of clavicle flexes the arm
sternal head from the manubrium and sternal body horizontally adducts the arm
both head insert into the lateral lip of the bicipital groove of the humerus
both heads are effective medial rotators of the arm
pectoralis major
which nerve innervates pectoralis major?
medial and lateral pectoral nerve
which muscle of the pectoral region:
arises from ribs 3-5 and inserts into the coracoid process of the scapula
function: scapular depression
marks the second part of the axillary n
pectoralis minor
which nerve innervates pectoralis minor?
medial pectoral n
which muscle of the pectoral region:
protects the sternoclavicular jt from traction injuries and subclavian vessels and brachial plexus in the event of a fractured clavicle
holds the clavicle onto the sternum
subclavius
what nerve innervates the subclavius m?
nerve to subclavius C5-C6
which blood vessel:
is one of the two principle superficial v's of the upper limb and passes through the deltopectoral triangle, before it empties into the axillary v
cephalic v
which blood vessel:
is behind pec minor and has two aa arise from it
2nd part of axillary a
what are the 2 branches that come off of the 2nd part of the axillary a?
thoracoacromial a
lateral thoracic a
what 4 branches come off of the thoracoacromial a?
clavicular, acromial, deltoid, and pectoral
what blood vessel is important to the blood supply of the breast?
lateral thoracic a
which blood vessel:
runs from the lateral edge of pectoralis minor to the inferior edge of teres major?
3rd part of axillary a
what are the 3 branches of the 3rd part of the axillary a?
subscapular a
anterior humeral circumflex a
posterior humeral circumflex a
which branch of the 3rd part of the axillary a is the largest, and what are the 2 branches that come off of it?
subscapular a
circumflex scapular a
thoracodorsal a
what makes up the floor of the axilla?
armpit, skin and axillary fascia
what makes up the medial wall of the axilla?
rib cage covered by serratus anterior
what makes up the anterior wall of the axilla? (3)
pectoralis major
pectoralis minor
subclavius
what makes up the posterior wall of the axilla? (3)
latissimus dorsi
teres major
subscapularis
what makes up the lateral wall of the axilla?
the anterior and posterior walls meet to form the lateral wall
what makes up the apex of the axilla?

(which opens into the posterior cervical triangle) (3)
upper border of scapula
clavicle
first rib
what are the contents of the axilla? (7)
fat
axillary lymph nodes
axillary a and v
cords of brachial plexus
long head of biceps brachii
short head of biceps brachii
coracobrachialis
what are not considered nerve roots but are the anterior primary rami of C5-T1
roots of brachial plexus
where are the 3 trunks of the brachial plexus located?
upper (C5 & 6)
middle (C7)
Lower (C8 & T1)
where are the nerves that are derrived from roots and trunks of the brachial plexus and what do they innervate? (3)
dorsal scapular n (rhomboids and levator scapulae)
suprascapular n (supraspinatis and infraspinatis)
long thoracic n (serratus anterior)
behind the clavicle, each trunk of the brachial plexus divides into:
anterior and posterior divisions
in general, anterior divisions of the brachial plexus functiont to supply:
flexors and adductors in the axilla
where is the lateral cord of the brachial plexus derrived from?
upper and middle anterior divisions
what does the lateral cord give off to and what does it supply?
lateral pectoral n to pectoralis major
where does the medial cord of the brachial plexus derrive from?
lower ant division
what nerve come off of the medial cord of the brachial plexus and what do they supply?(3)
medial pectoral n (pec minor and major)
medial cutaneus nerve of the arm
medial cutaneus n of the forearm
what is the posterior cord of the brachial plexus derrived from?
all posterior divisions
what nerves come off of the posterior cord of the brachial plexus and what do they supply? (3)
upper subscapular n (subscapularis)
thoracodorsal n (latissimus dorsi)
lower scapular n (subscapularis and teres major)
what do the cords of the brachial plexus divide into?
terminal branches
what are the nerves of the terminal branches of the lateral cord of the brachial plexus and what do they innervate? (2)
musculocutaneus n (corcobrachialis, biceps brachii, and brachialis)
lateral root of median n
what are the nerves of the terminal branches of the medial cord of the brachial plexus? (2)
ulnar n
medial root of median n
what are the nerves of the terminal branches of the posterior cord of the brachial plexus and what do they innervate? (2)
axillary n (deltoid and teres minor)
radial n
what are the muscles of the flexor compartment of the arm? (3)
coracobrachilais, biceps brachii, brachialis
what attch at the medial epicondyle and supracondylar ridge of the humerus?
attachment for the superficial flexor m of the forearm
what attch at the lateral epicondyle and lateral supracondylar ridge of the humerus?
attch for the extensor mm of the forearm
what is the big deal about the capitulum of the humerus?
little head articulates with the head of the radius
what is the big deal about the trochlea of the humerus?
articulates with the ulna
what is the big deal about the coronoid fossa of the humerus?
articulates with/recieves coronoid process of the ulna (anterior)
what is the big deal about the olecrenon fossa of the humerus?
articulates wrecives the olecrenon process of the elbow when the elbow is extended
what attch at the radial tuberosity?
biceps brachii
what attch at the styloid process of the radius?
radial collateral ligament of the wrist
what attch at the olecrenon process of the ulna?
triceps brachii
what is the big deal about the trochlear notch of the ulna?
articulates with the trochlea of the humerus
what is the big deal about the coronoid porcess of the ulna?
anterior point of surface articulating with medial trochlea
what attch at the ulnar tuberosity?
brachialis
what attch at the styloid process of the ulna?
ulnar collateral ligament of the wrist
what is located in the large space btwn the ulna and the carpal bones?
articular disc
what are the m of the flexor compartment of the ARM? (3)
coracobrachialis, biceps brachii, and brachialis
where does the coracobrachialis attch?
coracoid p of scapula to mid-humerus
what is the action of the coracobrachialis?
flexes the arm
where does the biceps brachii attch?
short head: coracoid p
long head: supraglenoid tuberosity
inserts on radial tuberosity
what is the action of the biceps brachii?
supinates and flexes bother the arm and the forearm
where does the brachialis attch?
humerus to tuberosity of ulna
what is the action of the brachialis?
flexes the forearm
what does the brachiradialis do?
flexes the elbow
What does Pass Fail Pass Fail stand for?
Superficial flexor muscles of the forearm:
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
where do all of the superficial flexors of the the forearm have at least a partial attch?
humerus to assist in elbow flexion
where does the pronator teres attch and what is is action?
radius; pronate teh forearm
where does the flexor carpi radialis attch and what is its action?
attch to base of 2nd and 3rd metacarpals
flexes and radially deviates the hand
where does the palmaris longus attch and what is its function (also what is it a landmark for)?
attch to palmer aponeurosis
flexes the hand
landmark for median n
where does the flexor carpi ulnaris attch and what is its action?
attch to pisiform, hamate, and base of 5th metacarpal
flexes and ulnarly deviates the hand
what m is considered the intermediate layer of the flexor compartment of the forearm?
flexor digitorum superficialis
what are teh deep m of the flexor compartment of the forearm? (3)
flexor digitorum profundus
pronator quadratus
flexor pollicis longus
can the deep muscles of the flexor compartment aid in elbow flexion?
no, does not cross elbow joint
what does the flexor digitorum profundus do?
flexes are far distally as the distal interphalangeal joints
what does the flexor pollicis longus do?
flexes the interphalangeal joint of the thumb
how is the pollicis longus innervated?
medial half: ulnar n
lateral half: median n
what does the pronator quadratus do?
primary pronator of the arm
what does the musculocutaneous n innervate?
three flexors of the forearm (biceps brachii, brachialis, coracobrachialis)
continues to the forearm as the lateral cutaneous n of the forearm
what does the median n innervate in terms of flexor compartment of the forearm?
major n of the flexors of the forearm (pronantor teres, flexor carpi radialis, palmaris longus, flexor pollicis longus, radial half of flexor digitorum profundus, pronator quadratus
what does the ulnar n innervate in terms of the flexor compartment of the forearm?
flexor carpi ulnaris, ulnar half of flexor digitorum profundus
what does the radial n supply in terms of the anterior forearm?
brachioradialis
which artery is a continuation of the axillary a, near its origin gives off the profunda brachii a, near the cubital fossa, this a bifricates into radial and ulnar a
brachial a
which a is deep to brachoradialis throughout the forearm but becomes more subQ near wrist
radial a
which artery is deep in the forearm, gives off common interosseous a, which sends branches (ant and post interosseous aa) along anterior and posterior surface of interosseous membrane
ulnar a
what are the mm of the extensor compartment of the arm? (2)
triceps brachii and anconeus
where do the triceps brachii attch?
long head: infraglenoid tuberosity and upper part of lateral border of scapula
lateral head: posterior and lateral surfaces of humerus
medial head: distally from posterior surface of humerus
where does the anconeus attch?
lateral epicondyle of humerus to lateral edge of olecranon and posterior ulna
what are the superficial mm of the extensor group of the forearm? (6)
brachiradialis
extensor carpi radialis longus
extensor carpi radialis brevis
extensor digitorum
extensor digiti minimi
extensor carpi ulnaris
what does teh brachioradialis do?
flexes elbow; active during rapid extension of the elbow (throwing*)
where do the superficial m of the forearm attch?
medial epicondyle and medial supracondylar ridge of humerus
where does the extensor carpi radialis longus attch?
base of metacarpal 2
where does the extensor carpi radialis brevis attch?
base of metacarpal 3
what does the extensor digitorum do?
extends the metacarpal-phalangeal joints of digits 2-5, also extends the proximal interphalangeal and distal interphalangeal via the extensor hood which inserts onto middle and distal phalanges
what does the extensor digiti minimi do?
extends finger at the metacrapal-phalangeal joint 5
what does the extensor crapi unlaris attch?
base of metacarpal 5
what happens when the extensor carpi ulnaris and flexor carpis unlaris work together?
ulnar deviation
what are the deep muscles of the extensor group of the forearm?
abductor pollicis longus
extensor pollicis brevis
extensor pollicis longus
extensor indicis
supinator
what are the muscles of the anatomical snuffbox? (thenar outcrop)
abductor pollicis longus
extensor pollicis brevis
extensor pollicis longus
where does teh abductor pollicis longus attch?
palmer surface of metacarpal 1
where does the extensor pollicis brevis attch and what does it do?
acch at proximal phalanx, thus producing extension at the MP joint of the thumb
extension at the MP joint of the thumb
what does the extensor pollicis longus attch and what does it do?
attch at the distal phalanx of the thumb
produces extension at the IP joint of the thumb
what does the extensor indicis do?
extends MP 2
where does the supinator attch?
arises from humerus and ulna and inserts onto the radius
for a muscle to be a supinator, where must it attch?
radius
what is the anatomical snuffbox bordered by?
abductor pollicis longus tendon (most ventral)
extensor pollicis brevis tendon (delimits ventral border)
extensor pollicis longus tendon (delimits dorsal border)
what is within the anatomical snuffbox?
radial a
what is the floor of the anatomical snuffbox?>
scaphoid bone
what surrounds the wrist as extensor tendons cross the joint, prevents bowstringing, and synovial shetths just deep to it decrease friction w tendons
extensor retinaculum
what innervates the muscles of the extensor compartment of both the arm and the forearm?
deep branch of radial n called posterior interosseus n
where does the posterior interosseous a come from?
from comon interosseous a, and branch of the ulnar artery
decribe the branching of the ulnar artery
ulner artery-->common interosseous branch-->anterior and posterior interosseous branches
describe the radial artery in the forearm
supplies superficial mm of the radial side of extensors, passes through snuffbox to reach deep palmer arch
what the proximal carpal bones from medial to lateral?
pisform
triquetrum
lunate
scaphoid
what are teh distal carpal bones from medial to lateral?
hamate
capitate
trapezoid
trapezium
what is the mnumonic device used to remember the carpal bones medial to lateral proximal to distal?
PTs Love Sex However Can't Tell Time
what is a sesamoid bone,
lies on the triquetrum,
btwn tendon of flexor carpi ulnaris, hammate and base of MC5, is palpated just distal to distal crease of wrist
pisiform
what articulates with the articular disc of ulna when in ulnar deviation (not ulna)
triquetrum
what articulates with the radius and articular disc of ulna
w wrist in extension, there is a visible depression over this that disappears when wrist is flexed
lunate
what articulates with the radius, is easily fractured and doesnt heal well because of poor blood supply, and is the floor of the anatomical snuffbox
scaphoid
what articulates with MC4 and MC5,
large palmer protubrance called the hook of____
this hook protects the ulnar n and ulnar a
hamate
what is at the base of MC3, transmits force from MC4 thru lunate and scaphoid to the radius
its dorsal aspect can be easily palpated
capitate
what is at the base of 2nd MC,
transmits force from MC2 thru scaphoid to radius
trapezoid
what participates in saddle joint movement (carpometacarpal jt of thumb)
trapezium
what are the two rows of carpals stabilized by?
crossing muscles that attch to bases of MC, compress carpals when contracted
what happens to the wrist when a tight fist is made?
wriste extends to lengthen long flexors for powerful actions
what happends to the heads of metacarpals 2-5 when a tight fist is made?
knuckles become prominent as proximal phlanges slide palmarly
what happens to collateral ligaments of MP joints when a tight fist is made?
they tighten, restricting abduction of fingers
what happens to MC4 and MC5 when a tight fist is made?
move toward the palm
when does the thumb flex/extend?
same plane as the hand when in anatomical position
when does the thumb abduct/adduct?
perpindicular plane to the hand in anatomical position (moves forward to abduct or back to anatomical position to adduct)
when does the thumb oppose/repose?
thumb crosses palm to oppose pinkie and back to repose
what structures pass through the carpal tunnel? (10)
median n
9 tendons of extrinsic flexors of digits, incl those of the thumb:
-4 flxor digitorum superficialis tendons
-4 flexor digitorum profundus tendons
-1 flexor pollicis longus tendons
what makes up the carpal tunnel?
the carpal bones sitting in the u-shaped arrangement and closed by the flexor retinaculum
what structures pass anterior to the flexor retinaculum
ulnar a and n
tendon of palmaris longus
tendon of flexor carpi ulnaris
tendon of flecor carpu radialis
what tendons split in the digit so that the corresponding flexor digitorum superficialis can reach the distal phalanx?
flexor digitorum profundus
what are theonly mm that can extend the MCP joints of fingers?
extensor digitorum, extensor indicis, extensor digiti minimi (long extensors)
where do lumbicals attch and what do they do?
originate from the tendons the FDP
pull on extensor expansions to produce extension at the IP joints. however, expansions pass ventral to centers of rotation of MP joints so the lumbricals can also produce flexion at the MP joint
where do interossei m insert?
attch in part to extensor expansions and thus assist lumbricals- arranged in two sets and inset primarily onto sides of proximal phlanges of fingers
what is the extensor mechanism of the IP joints?
four lumbicals and interosseous mm
how many and what do the palmer interossei do?
3; adduct the fingers (PAD)
how many and what do the dorsal interossei do?
4; abduct the fingers (DAB)
what mm is not part of the thenar eminence,
transverse head from 3rd metacarpal, oblique head from trapezium trapezoid capitate and base of MC 2 and 3.
it is not considered part of the thnar eminence bc it is innervated by the ulnar n
adductor pollicis
where do the thenar m arise from?
flexor retinaculum and adjacent carpals
what are teh thenar m innervated by?
recurrent branch of median n
what are the 3 thenar m?
abductor pollicis brevis
flexor pollicis brevis
opponens pollicis
where does the abductor pollicis brevis attch?
more proximal that FPB, attch at proximal phalanx
where does flexor pollicis brevis attch?
attch at proximal phalanx, flexes CMC and MP joints.
where does the opponens pollicis attch?
attch along the length of MC1, deep to abductor pollicis brevis, opposes the thumb
where do the hypothenar mm arise from?
flexor retinaculum and adjacent carpals
what are the hypothenar mm innervated by?
ulnar n
what are the 3 hypothenar mm?
abductor digiti minimi
flexor digiti minimi
opponens digiti minimi
what is the structure of synovial sheaths?
double walled, tubular bursae, closed at both ends, contain synovial fluid
what is the purpose of synovial sheaths?
decrease friction where tendons are restrained from bowstringing
what are enclosed in synovial sheaths of the hand?
tendons of FDS and FDP
what is the superficial palmer arch composed of?
principally the ulnar artery with some contribution from the radial a
where is the superficial palmer arch found?
deep to the palmer aponeurosis
what does the superficial palmer arch give off?
common palmer digital aa
what do that common palmer digital aa give off?
proper palmer digital aa
what is the main motor nerve supply of the hand?
deep branch of ulnar n which accompanies deep palmer arterial arch
the superficial nn of the hand are (sensory or motor)
sensory
what are teh 2 exceptions to the ulnar motor supply of the hand?
thenar mm and lateral 2 lumbricals are innervated by the median n
are all joints btwn two bones?
no, scapula and rib cage
which type of joint is relatively immobile? give an example
fibrous
interosseous membrane, sutures of the skull
which type of joint had hyaline cartilage and or fibrocatrilage present between the bones? give an example
cartilaginous; pubis symphysis, epephyseal (growth) plates
which type of joint is relatively mobile? give an example
synovial joint; shoulder
what are three charactoristics of all synovial joints?
synovial cavity
articular cartilage
synovial fluid
what type of synovial joint is the glenohumeral joint?
ball and socket, multiaxial
how is the head of the humerus positioned in the glenohumeral joint?
superiorly, posteriorly, and medially
what is the lip of cartilage that encircles glenoid fossa, deepens it to cushion head of humerus
glenoid labrum
what attached at the supraglenoid tubercle?
biceps brachii
what attch at the infraglenoid tubercle
triceps brachii
what happens when the humerus is abducted past 90 degrees?
concomitant lateral rotation. lateral rotation brings greater tubercle posterior so it doesnt impinge the inferior acromion
in the shoulder joint, which ligaments are not very strong?
glenohumeral
which ligament in the shoulder helps prevent inferior movement during adduction of the arm?
coracohumeral
what mm help to hold the humerus in its place in the glenohumeral joint?
SITS, long head of triceps and biceps
which muscles help to stabilize the glenohumeral joint?
short, deep mm
which muscles of the shoulder are important to offset strong upward force of deltoid during abduction
inferior/small rotators
what is the synovial compartment between acromion and tendon of supraspinatus that reduces friction?
subacromial bursa
which joint is the only synovial articulation btwn pectoral girdle and the axial skeleton?
sternoclavicular
what ligaments stabilize the sternoclavicular joint?
sternoclavicular ligaments
which ligament acts as a pivot for clavicular elevation so that medial end of clavicle moves inferiorly as lateral end is elevated
costoclavicular
which joint is weakly supported by the acromioclavicular ligament and is indirectly stabilized by coracoclavicular ligaments?
acromioclavicular joint
which ligaments are what is damaged in shoudler separations?
conoid and trapezoid of the coracoclavicular ligaments
where is the conoid ligament located?
near the center (medial aspect) of the acromion
where is the trapezoid ligament located?
toward the top of the acromion
what type of synovial joint is the elbow?
uniaxial, hinge
the head of the radius articulates with what on the humerus?
capitulum
the troclear notch of the ulnar articulares with what on the humerus?
trochlea
what ligaments prevent abduction/adduction at the elbow joint?
collateral ligaments
which ligament prevents abduction at the elbow/ valgus of the forearm. flexor digitorum superficiales arises in part from anterior cord of this ligament
ulnar collateral ligament (medial)
which ligament prevents adduction at the elbow/ varus of the forearm; attch at lateral epicondyle and annular ligament of radius. superficial fibers continue distally to contribute to supinator
radial collateral ligament (lateral)
what are the two joint of the radius and ulna?
proximal and distal radioulnar joints
how does dislocations of the elbow typically occur?
posterior movement of the olecrenon process out of the fossa
supination and pronation is a movement of the BLANK on the BLANK (bones)
radius on the ulna
what is sometimes considered the middle radioulnar joint bc it holds the 2 bones together.
interosseous membrane
when is the interosseous membrane taut?
supination
what movements is the wrist capable of?
flex/extend abduct/adduct circum duct (NOT ROTATE)
which ligaments attch to styloid processes of ulna and radius?
ulnar and radial collateral ligaments of the wrist
which ligament limits radial deviation?
ulnar collateral of the wrist